CVS Health (CVS) stock is down as its insurance unit Aetna to pay $117.7M to settle DOJ's Medicare Advantage fraud allegations over diagnosis codes. Read more here.

Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.

Inspectors found people on Medicaid rolls in more than one state but say it's a system problem not fraud.

A nursing home found to have erred in 99 of 100 reimbursement submissions during the pandemic is fighting back against those ...

Minnesota Gov. Tim Walz introduced an 18-point anti-fraud package for the 2026 legislative session. The proposal includes creating a centralized Office of Inspector General and ending direct ...

Some social media users misinterpreted the announcement and believed the moratorium was on patients receiving supplies, not the suppliers themselves.

On February 3, 2026, the Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) issued the Medicare Advantage (“MA”) Industry Segment-Specific Compliance Program Guidance ...

A Sarasota lab agreed to pay $980,000 to settle federal allegations of illegal kickbacks and false Medicare billing, according to the Department of Justice.

On February 2, 2026, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its long-anticipated Industry Segment-Specific Compliance Program Guidance (ICPG) for ...

Memorial Health Care System is planning to appeal the HHS Office of Inspector General’s finding that its flagship hospital received at least $12.1 million in Medicare overpayments, a system ...

Gov. Tim Walz released his anti-fraud package for the 2026 legislative session and denounced the Trump administration for new ...

A federal audit says Colorado shelled out roughly $78 million in improper Medicaid payments for autism therapy, and now the ...